Endoscopic management of the obliterated ureteroileal anastomosis

Endoscopic restoration of a totally obstructed ureteroileal anastomosis was accomplished in 3 patients. The combined use of rigid endoscopy of the ileal conduit and flexible nephroureteroscopy provided full visualization of the blind-ending segments and allowed location of the shortest segment betwe...

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Bibliographic Details
Published inThe Journal of urology Vol. 137; no. 2; p. 277
Main Authors Muench, P J, Cates, H B, Raney, A M, D'Elia, F L, Bagley, D H
Format Journal Article
LanguageEnglish
Published United States 01.02.1987
Subjects
Endoscopy
Humans
Ileum - surgery
Male
Middle Aged
Postoperative Complications - therapy
Urinary Diversion
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Summary:Endoscopic restoration of a totally obstructed ureteroileal anastomosis was accomplished in 3 patients. The combined use of rigid endoscopy of the ileal conduit and flexible nephroureteroscopy provided full visualization of the blind-ending segments and allowed location of the shortest segment between the lumina. A guide wire was passed through intervening tissue with fluoroscopic monitoring to re-establish internal drainage. This technique offers an alternative to laparotomy and reimplantation in selected cases of ureteroileal stricture.
ISSN:0022-5347
DOI:10.1016/S0022-5347(17)43978-4